临床实习教学中基于叙事医学模式对PCI患者的应用研究  

Research on the application of narrative medicine model in clinical practice teaching

作　　者：薛探[1] 鲍红光[2] 李春峰[1] 于蕾 马琳 吴大鹏 陶亮 宋蕾蕾 Xue Tan;Bao Hongguang;Li Chunfeng;Yu Lei;Ma Lin;Wu Dapeng;Tao Liang;Song Leilei(Department of cardiovascular medicine,second affiliated hospital of Qiqihar Medical College,Qiqihar,Heilongjiang,161006,China;Department of cardiothoracic surgery,second affiliated hospital of Qiqihar Medical College,Qiqihar,Heilongjiang,161006,China)

机构地区：[1]齐齐哈尔医学院附属第二医院心内科,黑龙江齐齐哈尔161006 [2]齐齐哈尔医学院附属第二医院心胸外科,黑龙江齐齐哈尔161006

出　　处：《齐齐哈尔医学院学报》2024年第4期386-389,共4页Journal of Qiqihar Medical University

基　　金：黑龙江省教育科学规划重点课题(GJB1423379)。

摘　　要：目的 探讨叙事医学教学模式在心内科临床实习教学中的应用效果。方法 选择本院2018级临床医学专业74名心内科实习的学生,随机分为叙事医学组(43人)和对照组(31人)两组。对照组采用传统教学方式,叙事医学组在对照组的基础上增加叙事医学教学。在教学结束后,比较两组学生的共情能力和医患沟通能力。结果 经过教学,叙事医学组学生的医患沟通能力得分为(23.79±1.94)分,对照组学生的医患沟通能力得分为(22.83±1.88)分,两组比较差异有统计学意义(P<0.05)。同时,叙事医学组学生的共情能力评分为(110.77±8.98)分,对照组学生的共情能力评分为(104.71±9.27)分,两组比较差异也有统计学意义(P<0.05)。结论 在临床实习阶段开展叙事医学教育,可以有效提升实习学生的共情能力和医患沟通能力,有助于培养更具人文关怀和职业素养的医学人才。Objective To explore the application effect of narrative medicine teaching model in clinical internship teaching of cardiology.Methods 74 students majored in clinical medicine of grade 2018,who participated in clinical practice in department of cardiovascular medicine,were randomly divided into a narrative medicine group(43 students) and a control group(31 students).The control group adopted traditional teaching methods,while the narrative medicine group added narrative medicine teaching based on the control group.After the teaching,the empathy ability and doctor-patient communication ability of the two groups of students were compared.Results After the teaching,the doctor-patient communication ability score of the narrative medicine group students was(23.79±1.94) points,and the doctor-patient communication ability score of the control group students was(22.83±1.88) points.The difference between the two groups was statistically significant(P<0.05).At the same time,the empathy ability score of the narrative medicine group students was(110.77±8.98) points,and the empathy ability score of the control group students was(104.71±9.27) points.The difference between the two groups was also statistically significant(P<0.05).Conclusions Carrying out narrative medicine education during the clinical internship stage can effectively improve the empathy ability and doctor-patient communication ability of internship students,and help cultivate medical professionals with more humanistic care and professional qualities.

关 键 词：叙事医学 心内科临床实习 共情能力 医患沟通能力 教学模式 

分 类 号：R473.5[医药卫生—护理学]